Permit (34) CITY OF TIGARD BUILDING PERMIT
IN
. '> COMMUNITY DEVELOPMENT Permit#: BUP2017-00138
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2017
t
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 250
Project: Keyence Corportation Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-New walls,doors,relites and cabinetry.
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-692-9002 PHONE:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 06/01/2017 $90.00
Occupancy Grp: B Occupancy Load: 27 Permit Fee-Additions,Alterations, 06/01/2017 $509.05
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/01/2017 $61.09
Stories: 5 Height: 0 ft Plan Review 06/01/2017 $330.88
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/01/2017 $203.62
Value: $30,000 Info Process/Archiving-Lg$2.00(over 06/01/2017 $8.00
11x17)
Floor Areas:
Total Area: 2629
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,202.64
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTEN •k Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 :$10 through 0•' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By:
1110 Permittee Signature: Chi' le
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
COmmerClalFOR OFFICE USE ONLY
RECEIVED iie
City of Tigard Received
l . t t-P 0/ 7-00/.3'
diginit No.:
° 13125 SW Hall Blvd.,Tigard,OR 972
g Plan Review c.
Phone: 503.718.2439 Fax: 503.5%1.0110 1 2017 Date/B : ,I' 2� Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/B� Innis: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUIl DING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
111 Master builder 111 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:250 Project name:Keyence Corporation Covered porch area: square feet
Cross street/directions to job site:Project located north of SW oak street, Deck area: square feet
south of SW Locust Street and east of Greenburg Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Work to include new walls,doors and relites and new cabinetry. Valuation: $$30,000.00
Existing building area: 2,629 square feet
New building area: 2,629 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Road,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:ckirchhofer@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20915 SW 105"'Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)692-9002 Fax:(503)692-9008
State surcharge(12%of permit fee): $21.60
CCB lic.:58918
/���� JIlq, Total fee due upon application: $201.60
Authorized signature: CA jQ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:06/01/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 'I j LLP
Site Address: 1030 SW toU, Q1 Suite/Bldg#: 250
Project Name:
(Name commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: NtvsJ wn U(,a t[ T.I Mite-
Existing Business Activity: \IMA A (0-€6 Lp 'Pl'1°VIov‹,..I1.4
Proposed Business Activity: t,.(-f p
, 'Verify site address/suite# exists and active in permit system.
l River Terrace Neighborhood: ❑ Yes Jgt No
Zoning: 11/4At/',S
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes rjk No,applicant notified to obtain business license
Notes:
Approved by Planning: IA6ttl Date: G It iti
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: • 7
Site Plans: #
Building Plans:
Building Permit#: JEnter building permit#above.
Workflow Routing: Planning Building
Workflow Sign-off: CS Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: O7-
( //
By Permit Technician: Date: (�// 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Releas• ': ,�� Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applican
Revision Notice 2: Date Sent to A..: ant:
Revision Notice 3: Date Se -. Applicant:
❑ SDC Fees Entered: ,gash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permi
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
'INg Over-The-Counter (OTC) Building & Fire Protection System Permit
1 to \RD Appointment Checklist
Permit Record#: P (_7—00 I Sq
Contact Name: c-e Phone #: `J6 3- 9 sly )
Business Name: ( .\,,i-j,,"'t Appt. Date/Time: 'do/, a too 41-7.
Site Address: /C), g 9c i-L-1 _ Bldg Suite #: a-sb
Project Name: A ,_ °I J s 4- % _14_,
Project Description: , i
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record #:
� .a71 .1 \<t-;1: 4,:i_. : l. e ...
GENERAL INFORMATION
Class of Work: -A,j;,�1ki\( 1 •,„.:--( r Occupancy Group: '1 Type of Construction: ' t"
Type of Use: C1 , Occupancy Load: `"7 Oregon Specialty Code: l
SPECIFICS
--------
Number
Number of Stories: ID Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: _ Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: 7fr- Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS � ���
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ � I a° I i ?
$ T / DC Prov Rvw,COM TI—Ping
$ . .. 7,ca--7;-:mit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2016) $ ( ,C ! 12%State Surcharge
Project Valuation $ 6 Plan Review,Structural
Up to$4,999 $0.00 $ F-' % , lan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ �r Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ ..'''2.17,Z_, TAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 250, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00138
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor